ArticleCureus2026
Expert Tibia Nail: Is a Single Nail Enough to Fix Distal Tibia and Fibula Fractures?
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Management of extra-articular distal tibia fractures associated with supra-syndesmotic fibula fractures remains controversial, particularly regarding the need for fibular fixation. With the advent of the Expert Tibial Nail System (ETNS), which provides multidirectional distal locking, adequate stability may be achieved without fibular fixation, potentially reducing surgical morbidity. Objective To compare clinical, radiological, intra-operative parameters, and complication rates between isolated ETNS fixation and conventional tibial intramedullary (IM) nailing with fibular plating in extra-articular distal tibia and fibula fractures. Materials and methods A hybrid (prospective and retrospective) comparative study was conducted from April 2023 to March 2025, including 120 patients aged 18-60 years with extra-articular distal tibia fractures (4-10 cm from the tibial plafond) and associated supra-syndesmotic fibula fractures. Sixty patients were treated with isolated ETNS fixation, and sixty underwent conventional tibial nailing with fibular plating. Intra-operative parameters (duration of surgery, blood loss, and radiation exposure), time to union, Olerud-Molander ankle score, deformity, and complications were analyzed. Statistical analysis was performed using Student's
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